Stephen Douglas Bast
ExpiredIllinois license 085000207
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000207
- Status
- Expired (Not Renewed)
- First issued
- August 20, 1980
- Expired
- August 20, 1984
- License holder
- Stephen Douglas Bast
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 08/20/1980
Contact
Carmi, IL 62821
White County